Following is a sample surrender confirmation for currency option, with commentary included in footnotes to the surrender confirmation. A sample confirmation without commentary can be found in 18.104.22.168 "Sample Surrender Confirmation for Currency Option without commentary".
Sample Surrender Confirmation for Currency Option with commentary
[Letterhead of Buyer]
Reference Number [ ]
[Name and Address of Seller]
Currency Option Surrender Confirmation
The purpose of this letter is to confirm the terms and conditions of the surrender of the Currency Option entered into between us on the Trade Date specified below (the "Currency Option").
1. Terms of the Currency Option to be surrendered are as follows:-
2. The terms of the surrender are as follows:
(a) the surrender date is [specify date];
[(b) the Seller agrees to pay the Buyer [$ ] as a surrender premium. The surrender premium must be paid on [insert date];
[(b) the Seller agrees to enter into further Currency Options in the terms of the attached Confirmations as consideration for the surrender of the Currency Option].
[(c) the surrender is a partial surrender. The amount of Put Currency which will remain after the surrender is [ ]. The amount of Call Currency which will remain after the surrender is [ ]]
Please confirm that the foregoing correctly sets forth the terms of our agreement for the surrender of the Currency Option by executing the copy of this Surrender Confirmation enclosed for that purpose and returning it to us.
Confirmed as of the date first written:
 Attach new Confirmations if applicable.
 Only include paragraph (c) for partial surrenders.
Last Update Date 29 Jun 2011